| NPI | 1255634044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BROTHERTON SHAPIRO Chief Operating Officer 850-431-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |